Botanic Remedies %75 



malarial fever, very large doses are demanded, even 

 hypodermatically in some cases. Be on guard 

 against hematuria, however. In the chronic malarial 

 cachexia, quinine may not produce a cure. Change 

 of climate is imperative in some cases. The patient 

 needs tonics and cholagogues, good food and every 

 possible care. 



Subcutaneous, intramuscular, and even intra- 

 venous administration are used in tropical countries 

 in the treatment of the pernicious forms of the 

 disease found there. The method is not without 

 danger, tissue necrosis being readily induced by the 

 irritation produced. Indeed, it has been claimed 

 that quiescent tetanus organisms may be in the 

 tissues and be lighted up to virulent activity by 

 intramuscular injections of quinine salts. The 

 intravenous use of, say, 10 grains in isotonic salt 

 solution is safer. 



Hemaglobinuria is aggravated, and it is said is 

 produced, by quinine. The plasmodia should be 

 definitely proven to exist, in a hemaglobinuric case, 

 before the risk is run of intensive quinine adminis- 

 tration. 



Quinine is valuable in the treatment of malarial 

 neuralgia. Some of the neuroses are dependent 

 upon malaria and are benefited by quinine, as is 

 the jaundice of malaria. 



As an adjuvant to other medication, quinine often 

 serves a useful purpose. In most any enfeebled state 

 of the system its tonic influence helps wonderfully in 

 restoration. 



As an emmenagogue quinine is not of direct value, 

 but after labor has begun it may promote the slug- 

 gish uterine muscle to greater activity of function. 



